Active NPI
Heather A Davis, PA-C
- Physician Assistant
- Allentown, PA
National Provider Identifier
1376530402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MA051472
- Practice address
- 250 Cetronia Rd Ste 302
Allentown, PA 18104-9168 - Phone
- (610) 437-2378
- Fax
- (610) 820-9983
- NPI assigned
- Oct 4, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MA051472 | PA | Primary |
Addresses
Primary practice location
250 Cetronia Rd Ste 302
Allentown, PA 18104-9168
Mailing address
250 Cetronia Rd Ste 302
Allentown, PA 18104-9168
Phone (610) 437-2378
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20031219000486 | PA | Practitioner - Physician Assistant | 1557269297 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Aesthetic Surgery Associates
Practice addresses (Care Compare)
250 Cetronia Rd
Allentown, PA 18104-9168
Phone (610) 437-2378
Hospital & facility affiliations
- St Lukes Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.44 of 100
- Quality
- 98.88
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA051472 | PA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Luke'S Physician Group, Inc. | Past | Accepting new patients |
Interoperability endpoints
- hdavis@directaddress.net
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Plastic and Reconstructive Surgery Physician
- Allentown, PA
- NPI 1306866611
PA
-
- Plastic and Reconstructive Surgery Physician
- Bethlehem, PA
- NPI 1538314638
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Adult Mental Health Clinic/Center
- Lehighton, PA
- NPI 1962094920
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611187200000",
"number": "1376530402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 CETRONIA RD STE 302",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181049168",
"telephone_number": "610-437-2378",
"fax_number": "610-820-9983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 CETRONIA RD STE 302",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181049168",
"telephone_number": "610-437-2378",
"fax_number": "610-820-9983"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "HEATHER",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-04",
"last_updated": "2021-01-21",
"certification_date": "2021-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA051472",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Allentown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.